Early aggressive intravenous fat emulsion decreases the incidence of retinopathy of prematurity

This study aimed to evaluate the effect of early aggressive introduction of intravenous fat emulsion [IVFE] on the occurrence of retinopathy of prematurely [ROP]. A retrospective study conducted at Prince Hashem Ben Al- Hussein Military Hospital A 100 premature infants of

Is surgical treatment of gingival and palatal cysts of the newborns necessary?

Purpose of this study was to investigate the conservative and or surgical treatment of gingival and palatal cysts of the newborns. A three years prospective study was conducted between 2009 and 2012 at Prince Hashem Ben Al-Hussein Military Hospital/Zarqa-North of Jordan and Prince Zaid Ben Al-Hussein Military Hospital, Atafela-South of Jordan. A total of 5000 newborns were examined. Those newborns who were diagnosed initially to have a single or multiple gingival and or palatal cysts were included in the study, but those with cleft palate and or cleft lip and all with congenital abnormalities were excluded. All infants diagnosed initially by neonatologist as having either gingival or palatal cyst were referred to periodontist for confirmation of the diagnosis. Further evaluations were conducted by neonatologist and periodontist after every two weeks. Over a period of three years, a total of 144 newborns with gingival and or palatal cysts were diagnosed during routine examination of the newborns at Prince Hashem Military Hospital and Prince Zaid Ben Al-Hussein Military Hospital. Patients were followed up for a period of 8 months. Sixty three percent of all cysts were broken by themselves after one week while 8% broke at the age of 3 months, 10% at 6 months of age, 6% at the age of 8 months and only 4% required surgical treatment. The study concluded that the majority of gingival and palatal cysts of the newborns resolved by the age of 8 months by themselves. This emphasizes the need for conservative and regular follow-ups and just reassuring the guardians of the newborns. The minority of them need surgical treatment

Impact of total parenteral nutrition on deciduous tooth eruption of very low birthweight premature infants

Purpose of this study was to investigate the effect of total parenteral nutrition on deciduous teeth eruption of very low birth weight premature infants. It was a prospective study done at Prince Hashim Ben Al-hussein Military Hospital of 85 healthy preterm infants who were born with birthweight of 800-1500grams, and at 27-32 weeks gestational age. They were divided into two main groups Group [40 preterm infants who did not receive total parenteral nutrition] and Group B [45 preterm infants who received total parenteral nutrition [TPN] during stay in the neonatal intensive care unit]. Group B was divided into two subgroups B1 [20 preterm infants who received only 3.5 grams/Kg/day Amino acids] and B2 [25 preterm infants who received amino acids and 3 grams /kg/day intralipids]. A first tooth eruption record was completed by the neonatologist and the parents of the enrolled infants during regular clinic appointments. Normal eruption was seen in subjects with birthweight [1001-1500 grams] than those with birth weight of 800-1000 grams and gestational age [30-32 weeks] than [27-29 weeks]. There were significant differences between groups for total parenteral nutrition, and they were highly significant when amino acids and intralipids were used together. As far as intubation is concerned the difference was not significant when the delayed group compared to the normal group. Neonatal sepsis were significantly increased when the oral intubation was more than 5 days. The study concluded that the introduction of total parenteral nutrition to very low birth weight premature infants resulted with early first tooth eruption. It is concluded that intralipids component of TPN is responsible for this observation, but further studies to evaluate the role of other TPN components are mandatory